IHC Health Services Inc., DBA Intermountain Primary Children's Hospital
Lehi, UT
Addresses
Filing revisions
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Aug 5, 2026 | Yes |
Example procedure pricing
- Total knee replacement β CPT 27447$2.3k
- MRI brain w/ contrast β CPT 70553$1.9k
- Upper GI endoscopy β CPT 43239$400
- Knee arthroscopy β CPT 29881$979
- Colonoscopy β CPT 45378$1.5k
- Colonoscopy with biopsy β CPT 45380$508
- Cataract surgery β CPT 66984$817
- Appendectomy β CPT 44970$962
- Hip replacement β CPT 27130$2.3k
- Gallbladder removal β CPT 47562$1.2k
- Screening mammogram β CPT 77067$356
- CT scan, abdomen and pelvis β CPT 74177$1.3k
- Coronary stent placement β CPT 92928$17.0k
- Tonsillectomy β CPT 42820$1.7k
- Cardiac catheterization β CPT 93458$5.3k
- MRI, knee β CPT 73721$892
- MRI, lumbar spine β CPT 72148$1.2k
- Chest X-ray β CPT 71046$140
- Emergency dept visit, level 4 β CPT 99284$1.6k
- Hernia repair β CPT 49505$770
- Carpal tunnel release β CPT 64721$693
- Cesarean delivery β CPT 59510$2.6k
- Spinal fusion β CPT 22612$2.8k
- Vaginal delivery β CPT 59400$2.3k
- Pacemaker insertion β CPT 33208$14.7k
- Shoulder arthroscopy with rotator cuff repair β CPT 29827$1.5k
- Gastric bypass surgery β CPT 43644$2.8k
EIN: 942854057
Last updated: Aug 5, 2026
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Hospital ID: 9bbf004bac6c2864170f98d48ab4d80f26642255c9b533eb70fc62dd14e6b564